SAGAR GROUP OF INSTITUTIONS, BHOPAL

(SIRT / SIRTS / SIRTE/SIRTP/SIRTSP)

Accredited by TCS, NBA & PCI. The First ISO 9001:2000 certified e-governed institutes in M.P.
BE M.Tech. MBA MCA M.Pharm. B. Pharm.
Ayodhya Bypass Road, Bhopal 462041 M.P., Ph: 0755-3983100, 3983101
Corporate Office : Sagar Plaza, 250, Zone-II, M.P. Nagar, Bhopal, Ph: 0755-4077790

APPLICATION FORM
Please tick any one of the below:-
Professor Administration
Affix your
Associate Professor Staff recent
colored
photo
Assistant Professor Others

Department: .... PAN No....

A/c No:..Adhar Card No:

1. Source of Information
(Name of Person / Email / News Paper /
Others)

2. Name in Full (Capital Letters)

(as per 10th Mark sheet)

3. Date of Birth (dd/mm/yyyy)

Mr. / Ms. .......................

..
4. Address to which communications
should be sent Pin:..Blood Group
(also furnish email, telephone number)
E-mail :

Mobile : Landline No.:

5. Permanent Address

6. Fathers / Husbands Name

7. Fathers / Husbands Occupation

a.
8. Marital Status (a. Single / Married)
If married (b. No. of Children)
b.
9. a. Nationality a.

b. Caste (SC / ST / OBC / GEN.) b.

10. Living in rented house?

Yes / No
11. Would you like to shift in the
Yes / No
College campus?
12. Academic Qualification starting - (Attach Self attested photocopies of certificates, mark sheets and degrees)

Medium of Year of Percentage

Examination Passed Subjects / Branch Name of the Institution / Board
Education Passing / GPA
High School (X)

Higher Secondary
(XII)
Under Graduation
(B.A./B.Com./B.Sc./
B.E.)
Post Graduation
(M.A./M.Com./M.Sc/
M.Tech./MBA/ MCA)

Others
(please specify)

13. Teaching / Administrative / Industrial Experience Total No. of years. _________________________

(Attach Experience Certificates)
Name of the Institution / Designation Salary Duration with dates Reason for
Organization Consolidated leaving

14. Academic Profile (Give details of the following in separate sheets)

Papers published in Journal:

Books Authored/Co-authored:

Papers published in Conferences:

Sponsored Research projects:- Title:

Name of Sponsoring Agency: Sanctioned Amount: Duration:

No. of M.Tech. thesis guided/co guided Awarded: Submitted: Ongoing:

No. of Ph.D. thesis guided/co guided Awarded: Submitted: Ongoing:

No. of Workshops/Training Programs/Summer/Winter Schools/Conferences Attended/Organized:

Awards, Patents, Prizes etc.

Any other relevant information on your academic standing in brief.

15. Professional Affiliation, Indian and Foreign (Membership of Societies, etc.)
Organization Year of induction Grade of Membership Remarks

16. Languages known:

Spoken Written Fluency

17. Computer Literacy __________________________________________________________________________

18. What is your lookout for the job applied & the views that you possess regarding the teaching methodologies? Please
specify. ____________________________________________________________________________________
__________________________________________________________________________________

19. Name, Address & Mobile No. of two references (other than SGI).
1). 2)

20. Will you be able to report daily on your own conveyance? If yes, please specify your mode of transportation.
__________________________________________________________________________________________

21. What else can you contribute towards the all round development of SIRT apart from teaching? Please specify your
area of preference.
a) ___________________________________________________________________________________
b) ___________________________________________________________________________________

22. Expected Salary ________________________________

23. Duration for how long you propose / undertake to work in this institute. ___________________________________

24. Write your views on What I can contribute to make SGI as the best Group of Engineering College in about 200
words. (Use extra sheet for your answer)
DECLARATION:
I hereby declare that the information given above is correct and to the best of my knowledge and belief. I fully
understand that if it is found at a later date that any information given in the application is incorrect/false or if I do not
satisfy the eligibility criteria, my candidature/appointment is liable to be cancelled / terminated.

Place : Signature of the Applicant

Date : (Name in Block Letters)
Please attach certificate, resume & testimonials, along with this application.)
Recommendation of Interviewer: (For Office Use Only)

S.No. Qualities Interviewer 1 Interviewer 2 Interviewer 3

(Excellent / Good / Poor) (Excellent / Good / Poor) (Excellent / Good / Poor)

1 Appearance

2 Fluency in English

3 Academic Record

4 Attitude

5 Stability with the institute

6 Commitment for post applied

Mention below the Technical
Subjects having proficiency:
a.

b.
7
c.

d.

e.
Probable subjects that can be
8
allotted for teaching
Academic Load (Per Week)
8
can be offered
9 Salary which can be offered

10 Total Marks (OUT OF 10)

11 Overall Remarks

Signature of Signature of Signature of

Interviewer 1: Interviewer 2: Interviewer 3:

Name: Name: Name:

Designation: Designation: Designation:
Date: Date: Date:

For office use only:

Selected Institute: SIRT / SIRTS / SIRTE / SIRT-P / SIRTS-P

Rejected Department:

On hold Designation:

Date of Joining:

Final Salary:

Time Slab:
Signature: Approved by: Chairman / ED
 LETTER OF CONSENT

I hereby give my consent to join Sagar Group of Institutions.

(SIRT, SIRT-P, SIRTS, SIRTS-P, SIRT-E), Bhopal as a .in the ..

Department.

I shall join my duties at Bhopal in the forthcoming Academic Session ..

I assure you that I will attend the Faculty Development Program being conducted by Institute as per the

schedule. I am liable to be transferred in the group institutes as per the transfer policy of Sagar Group of Institutions.

Contact Address . Signature

.....

..

Mobile No. .. Tel. No.